Search › California › 172V00000X
Samantha Bacon
NPI 1235014333 · on the registry since 2025 · sole proprietor
Practice
- Address
- 258 State St
Willits, CA 95490 - Phone
- (707) 354-0846
- Fax
- (707) 354-0846
Registry record
- Primary taxonomy
- 172V00000X
172V00000X
- Sex
- Female
- Record last updated
- 2025-08-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California